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Abstract
BackgroundMaternal cardiac arrest during cesarean section (CS) is an extremely rare but devastating complication. Preventing emergency events from developing into maternal cardiac arrest is one of the most challenging clinical scenarios.Case presentationA 35-year-old pregnant woman with subvalvular aortic stenosis who was scheduled for elective CS under epidural anesthesia, and experienced devastating supine hypotensive syndrome, but was successfully resuscitated after delivery.ConclusionsThe performance of tilt position strictly or high-quality continue manual left uterine displacement (LUD) should be performed until the fetus is delivered, otherwise timely delivery of the fetus may be the best way to optimize the deadly condition.
Highlights
Maternal cardiac arrest during cesarean section (CS) is an extremely rare but devastating complication
We presented a case about timely delivery of the fetus preventing maternal cardiac arrest
Supine positioning of a pregnant patient will result in aortocaval compression (ACC)
Summary
Maternal cardiac arrest during cesarean section (CS) is an extremely rare but devastating complication. We presented a case about timely delivery of the fetus preventing maternal cardiac arrest. The patient was placed supine in a lefttilt position; 3 mL of 2% lidocaine was injected as a test dose, and another 7 mL was injected 5 min later through the cranial catheter.
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